Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $38.02	Facility		$12.02	$12.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $19.05	Professional		$8.91	$12.02	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.30	Professional		$9.77	$9.77	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $24.55	Professional		$10.00	$15.85	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $34.67	Facility		$9.55	$13.49	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $23.44	Professional		$11.48	$11.48	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $30.90	Professional		$13.49	$19.50	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.91 / $12.88	Facility		$6.46	$8.91	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.55 / $18.62	Professional		$6.31	$9.55	$18.62